HURST REVIEW: NEURO QUESTIONS WITH CORRECT ANSWERS GRADED TO PASS

Neurological Assessment includes - -client's current condition -Glasgow Coma Scale -pupillary changes -hand grips/leg lifts/pushing strength of feet -Babinski reflex Neurological Assessment of Client's Current Condition - Onset: It's important to know - when the symptoms started Neurological Assessment of Client's Current Condition - Onset: Ask them _______________________________ and what ____________________________ - when was the onset; symptoms did the client have intially Neurological Assessment of Client's Current Condition - Description of Symptoms: Have them - describe Neurological Assessment of Client's Current Condition - Description of Symptoms: Know the ________________, how __________________________, and how _______________ - location; long the symptoms have persisted; severe Neurological Assessment of Client's Current Condition - Associated Factors: Determine if there were any __________________________________ associated with the symptoms - triggers or aggravating factors Neurological Assessment of Client's Current Condition - Associated Factors: Ask them "did anything ________________________ the symptoms?" - help relieve Neurological Assessment of Client's Current Condition - Overall Appearance: Note the client's general - appearance and behavior Neurological Assessment of Client's Current Condition - Overall Appearance: Observe if there are any ______________________________ of a ____________________________ deficit? - obvious signs; neurological (speech slur? drooping side of face?) Neurological Assessment of Client's Current Condition - Degree of Consciousness: What is the MOST important aspect of the neuro exam? - assessment of the client's mental status, including LOC Neurological Assessment of Client's Current Condition - Degree of Consciousness: Mental status includes - -awareness of surroundings and alertness -orientation to person, place, and time -memory: both short-term and long-term Neurological Assessment of Client's Current Condition - Degree of Consciousness: The most sensitive indicator of neuro status is - LOC Neurological Assessment of Client's Current Condition - Degree of Consciousness: A change in LOC may be - the first sign that there is a problem Neurological Assessment - Glasgow Coma Scale: This scale is used to - assess the LOC in a client who already has altered consciousness or has the potential of altered consciousness Neurological Assessment - Glasgow Coma Scale: This scale is used primarily in the - ED or ICU Neurological Assessment - Glasgow Coma Scale: The definition of this scale is - a scale that measures the degree of LOC Neurological Assessment - Glasgow Coma Scale: 3 responses of this scale - 1. eye opening 2. motor response 3. verbal response Neurological Assessment - Glasgow Coma Scale: RULE - we like a - high number ranging from 13 to 15 Neurological Assessment - Glasgow Coma Scale: What is always #1 with neurological assessment? - LOC Neurological Assessment - Glasgow Coma Scale: Eye Opening (E) scores - 4 - spontaneous 3 - to verbal command 2 - to pain 1 - no response Neurological Assessment - Glasgow Coma Scale: Motor Response (M) scores - 6 - to verbal command 5 - to localized pain 4 - flexed/withdraws 3 - flexes abnormally 2 - extends abnormally 1 - no response Neurological Assessment - Glasgow Coma Scale: Verbal Response (V) scores - 5 - oriented/talks 4 - disoriented/talks 3 - inappropriate words 2 - incomprehensible sounds 1 - no response Neurological Assessment - Glasgow Coma Scale: The total score is determined using what formula? - E + M + V Neurological Assessment - Pupillary changes: Determined using - PERRLA Neurological Assessment - Pupillary changes: Normal pupil size - 2-6 mm Neurological Assessment - Hand Grips/Leg Lifts/Pushing Strength of Feet: This is assessed for - strength and equality and if client will follow a command Neurological Assessment - Babinski Reflex: Normal in an infant up to - 1 year Neurological Assessment - Babinski Reflex: Though it is normal in an infant up to 1 year, it may be seen up to - 2 years (should disappear when walking starts)